Premier Application

Thank you for your interest in becoming an Embossed Graphics retailer. Please complete the form below to begin the sign-up process. Use your shipping address for the address fields and click the Send Application button to submit the information to Embossed Graphics. A representative will contact you soon to complete the application process. We look forward to partnering with you.

* indicates required information

Terms of Sale
Package Chosen:qpkp002a at a price of $225.00
Store Name: *
Contact Name: *  (First, M.I., Last)
Address Line 1: *
Address Line 2:
City: *
State/Province: *
ZIP Code/Postal Code: *
Country: *
Phone Number: *
Alternate Phone Number:
Fax Number:
Email Address: *
Web Site Address:http(s)://
Are you interested in an EGBreeze Hosted Website? *
EGBreeze is a full functioning hosted website featuring
Embossed Graphics products.
Yes      No
Number of Years in Business: *
Last Year's Total Sales: *
Federal Tax ID Number: *
Business Location: * Shopping Center
Home-Based
Office Suite
Online
Other (Please Describe) 
Primary Business Focus: * Invitations
Stationery
Napkins
Other (Please Describe) 
As a service to our retailers, Embossed Graphics has a Retailer Locator (See it here).
Your store information can display in the Retailer Locator or you can opt out of appearing in the Retailer Locator by choosing one of the selections below.
The first three choices will include a link to your Web site, if you provide it above.

How should your store appear? *
Show store name, address, city, state/province, postal code, phone number, and Web site
Show store name, city, state/province, postal code, phone number, and Web site
Show store name and Web site
Do not show store at all
How Did You Hear About Us? * Customers
Another EG Retailer
Stationery Show
FGMarket.com
Stationery Trends Magazine / Ad
Other (Please Describe) 

I have read and agree to the Terms of Sale.